We provide detailed up-to-date advice before you start. It’s important to check your medical history and run neccessary blood tests as well as a sexual health screen. We will make sure you understand things and know well how to take care of your self and your partner(s).

Our team will help you choose which treatment plan to follow. We’ll check your medical history, personal sexual risk evaluation and run HIV test, kidney function test, Hepatitis B and liver function blood tests. 
We can arrange a sexual health screen at our PULSE CLINIC. We’ll dispense 90 tablets at the first visit (if you need more than that, ask our doctor). The whole process to acquire PrEP at PULSE CLINIC takes 30 minutes.You will also receive medical certificate that will allow you to travel with PrEP medications in every countries. PrEP appointment includes consultation, risk evaluation, rapid HIV and syphilis test, metabolic test (kidney function, liver function and hepatitis B vaccine level). Once you book appointment for PrEP, you don't need to book appointment for HIV test or other tests.

• MAKE SURE YOU GET TESTED FOR HIV, KIDNEY FUNCTION, HEPATITIS B VIRUS BEFORE TAKING PrEP.
• MAKE SURE YOU DIDN'T HAVE EXPOSURE TO HIV (Bareback sex, sharing needle) 14-21 DAYS BEFORE HIV TEST.
• MAKE SURE WE HAVE  YOUR PRESCRIPTION or LAB RESULTS BEFORE ORDERING PrEP.

It’s important to have regular monitoring. We’ll make sure everything is going OK and doing well. We’ll check HIV status, do syphilis test. 
Twice a year we’ll run a blood test to check your kidneys and liver. 
If you decide to continue we can sell you up to 12 month’s supply each visit, except for people from or living in The Netherlands which has different laws allowing its residences to bring back more than 12 bottles for personal use.

• MAKE SURE YOU'RE HIV NEGATIVE, HAVE NORMAL KIDNEY FUNCTIONTO CONTINUE TAKING PrEP.
• MAKE SURE YOU DON'T HAVE OTHER SEXUALLY TRANSMITTED INFECTIONS
• MAKE SURE YOU GET PROPER TREATMENT WHEN HAVING STDS AND TELL YOUR SEX PARTNER(S) TO GET TESTED AND TREATED TOO.
• MAKE SURE YOU TAKE YOUR PrEP DAILY AND SHOULD NOT SHARE YOUR PrEP WITH THOSE WHO HAVE NOT GET TESTED.

It’s important to confirm your HIV status (that you are HIV negative, of course!) and check your kidney function for regular monitoring. Send us a copy of passport and lab results from your doctor or your labs or just send us prescription from your doctor. We’ll re-check your results, then we can provide you 3 to 6 month’s supply each time through buy PrEP online service. 

 PrEP is safe and it works very well. 

References

1.McCormack S, Dunn D. Pragmatic Open-Label Randomised Trial of Preexposure Prophylaxis: The PROUD Study. CROI 2015; Seattle, Washington, 2015.
2.Molina J, Capitant C, Spire B, Pialoux G, Chidiac C, Charreau I, et al., editors. On demand PrEP with oral TDF-FTC in MSM: results of the ANRS Ipergay trial. Conference on Retroviruses and Opportunistic Infections